The Hospital for Sick Children (SickKids)

annual report 2010-2011

building futurethefor

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The Hospital for Sick Children engages the community in program development and evaluation.

Clinical practice is evidence-based, and results in knowledge transfer and peer-reviewed publications and presenations.

There is strong leadership support for patient safety and quality.

Accrediation Canada Report, October 2010

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The Hospital for Sick Children Annual Report 2010-2011 | 3

table of contents

4 letter from the leaders

6 building for the future

8 SickKids at a glance

16 finances

18 performance

20 family-centred care

24 research and learning

35 achievements 2010-2011

The complete SickKids annual report 2010-2011 is posted online at

www.sickkids.ca/annualreport

4 | The Hospital for Sick Children Annual Report 2010-2011

Dear Friends of SickKids,

SickKids is a community of builders. We help our young patients and their families build and rebuild their health and their lives. Our world-renowned scientists build evidence to support new models of care and treatment protocols to benefit children in Canada and around the world. We build connections to our communities through our commitment to engagement, family-centred care, service excellence and philanthropy – critical pillars of SickKids’ success. And we continue to build and enhance the capability of our people, our infrastructure and our technology, and indeed the health-care system at large.

Our commitment to building the leadership capability of our people is unwavering. SickKids relies on the strong foundation of our people, who create the vibrant environment that is so necessary to provide high-quality care, research and education. Our staff and volunteers are deeply committed to SickKids – we know this because our annual staff engagement survey continues to show scores that are higher than those of peer organizations. SickKids is a place where people want to be.

Our physical infrastructure is undergoing a stunning transformation. Construction of our new Research & Learning Tower hit grade this year, and we look forward to the day when our scientists and researchers will reap the benefits of a shared investigative environment. We are also in the early stages of planning for our new Ambulatory Care Centre, which will enhance the patient experience by gathering all of our ambulatory clinics together, close to important diagnostic and treatment services.

Constance Sugiyama Chair, Board of Trustees Mary Jo Haddad President and CEO

letter from the leaders


Recognizing the important role that information management and technology (IMT) will play in enabling and supporting the SickKids strategic plan, we renewed our IMT strategic plan in 2010. Bold and far-ranging in scope, the plan will guide us as we grow our technological infrastructure to enhance high-quality patient care, and give our staff the tools to achieve high performance and enhance collaboration with our regional and international partners.

In the thoughtful tradition of our founders, who saw the potential for a great hospital in a leaky house on Avenue Street, we continue to refurbish where we can and build where we must. The Cancer Centre and the Emergency Department are excellent examples of recent building projects that have enhanced the care we are able to provide to our patients and families.

Building for the future requires us to be innovative and responsive to the changes happening within the health-care system and our society as a whole. By being adaptable and flexible and keeping in mind our vision for healthier children and a better world, we will continue to build a system that provides the best care possible for the children and their families whom we so proudly serve.

Please enjoy this report of our progress and performance. We look forward to continued collaboration and engagement with our partners in care, education and research and with the broader community at large.

Constance Sugiyama Mary Jo Haddad Chair, Board of Trustees President and CEO

SickKids is a community of builders. We help our young patients and their families build and rebuild their health and their lives.

Peter Sawras Director, Facilities Planning Jim Garner Executive Vice President, Corporate Services

Daniela Crivianu-Gaita Vice President and Chief Information Officer

Infrastructure is a critical enabler to our success. Our award-winning solutions have addressed major challenges in health-care delivery.


Welcome to the 2010-2011 Annual Report for The Hospital for Sick Children.

In addition to the world-class care that we continue to provide at SickKids, this year we laid the groundwork for one of the most transformational developments in the 135-year history of our organization – a 21-storey beacon of research and learning excellence on the corner of Bay and Elm Streets. With completion of The Research & Learning Tower in 2013, our scientists and their teams will consolidate their work on one campus, with facilities to support the leading-edge discoveries that characterize research and learning at SickKids.

Our staff are key to our success and we are proud to include just a few of the many heroes at SickKids in this report. They all demonstrate SickKids values of excellence, collaboration, integrity and innovation, and they inspire their colleagues to do a great job for children, families and co-workers – all in the spirit of building for the future.

Please note, to save resources, both natural and fiscal, SickKids no longer prints its annual report. The report has been designed as an interactive experience that links readers to various pages on the SickKids website. For the full report, please see www.sickkids.ca/annualreport. Read more about a great year at SickKids and let us know your thoughts at [email protected].

building for the future

Wayne Arnold Manager, Research IT Munira Nanji Senior Manager, Clinical Program

Anita Tancredi Medical Interpreter

Leadership is nurtured and valued at SickKids. Meaningful collaboration and clarity of purpose have led to exceptional staff engagement and world-class results.


SickKids at a glance

The future for SickKids

includes The Research &

Learning Tower, currently

under construction, and an

ambulatory building for which

funding is being sought. The

plan is to consolidate all

ambulatory clinics and some

diagnostic and interventional

services under one roof, with

limited renovation of select

areas of existing buildings.

This will address such problems

as insufficient space and over-

crowding and functional

obsolescence. Also, it will

expand diagnostic and

treatment spaces, and free

up space for departments

currently housed in leased

space off campus. Demolition

of outdated buildings will

make room for further

growth space.

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SickKids fosters and integrates the aspirations of a world-renowned paediatric hospital, a leading-edge research institute and an innovative learning institute. “Healthier Children. A Better World.” is the vision that unites the 9,600 people at SickKids whether they are doctors, nurses, scientists, trainees, support staff or volunteers. Innovation, integrity, excellence and collaboration are the values that guide the organization, where everyone is working towards the same strategic objectives.

Providing high-quality patient care and treatment informed by world-leading research.

Enabling a community of passionate and dedicated people to provide the best

possible care.

Treating patients, families and each other with respect and understanding.

This is SickKids.


Hospital activity

Patients 10/11 09/10 08/09 07/08 06/07

Inpatient Activity

Avg # of Patients a day 276 275 275 266 266

Admissions 14,590 14,187 13,808 13,245 13,057

Patient Days 100,595 100,342 100,332 97,021 97,196

Avg Length of Stay (days) 6.9 7.1 7.3 7.4 7.3

Operating Room Cases

Inpatient 6,506 6,248 6,238 5,965 5,984

Day Surgery 4,953 5,092 5,146 4,848 4,618

Total Operating Room Cases 11,459 11,340 11,384 10,813 10,602

Ambulatory Activity

Emergency 57,561 57,710 54,580 51,771 48,675

Clinics 217,707 215,211 202,649 195,079 192,365

Total Ambulatory Activity 275,268 272,921 257,229 246,850 241,040

Staff, trainees, volunteers on March 31, 2011

Non-Research Staff (excluding Fellows & Students)

Management & Support 2,147

Health-Care Professionals 2,909

Scientists 11

Total Non-Research Staff 5,067

Active & Associate Physicians 638

Research Staff (excluding Fellows & Students) 1,039

Residents, Fellows & Students

Research Fellows & Students 639

Non-Research Fellows & Students 213

Medical Affairs Residents & Fellows 625

Total Residents, Fellows & Students 1,477

Volunteers

Women’s Auxiliary 215

Other 1,162

Total Volunteers 1,377

Total 9,598


Key financial overview

Fiscal Years Ended March 31 (in thousands of dollars) 2011 2010 2009 2008 2007

Statement of Operations

Revenue 698,647 682,293 654,088 624,975 590,203

Expenses 67,486 674,619 660,074 627,618 593,509

Excess (deficiency) of revenue over expenses before investment income (loss) 1,161 7,674 (5,986) (2,643) (3,306)

Investment income (loss) 5,770 33,895 (13,790) 1,476 4,412

Excess (deficiency) of revenue over expenses 6,931 41,569 (19,776) (1,167) 1,106

Balance Sheet

Assets 939,872 901,677 675,030 611,609 592,174

Liabilities 867,283 836,499 651,046 567,849 557,599

Equity 72,589 65,178 23,984 43,760 34,575

06/07 586

07/08 617

08/09 654

09/10 682

10/11 699

Revenue (excluding investment income) ($ millions) Investment Income/(Loss) ($ millions)

06/07

07/08

08/09

09/10

10/11

4.4

1.4

(14)

34

6

06/07

07/08

08/09

09/10

10/11

141

137

141

151

154

External Research Awards (millions)

SickKids shows steady growth in revenue and research funding, matching the continually increased activity in patient care, research and learning.


2010-2011 SickKids’ Sources of Operational Funding ($640.8 million)

2010-2011 SickKids’ Sources of Capital Funding ($93.2 million)

Long Term Debt (Supported by SickKids Foundation) 36%

Depreciation 27%

Ministry of Health 2%

SickKids Foundation 2%

Research Grants 33%

Ministry of Health 67%

Research Grants 14%

SickKids Foundation 9%

Patient & Other 8%

Commercial Services 2%

2010-2011 SickKids’ Sources of Research Funding ($167.8 million)

Research Operating Grants 42%

Trust Fund & Investment Income 5%

Commercial Services 3%SickKids Foundation

21%

Total Personnel Awards 6%

Total Infrastructure Grants 13%

Industry Sponsored Research & Commercialization 5%

Indirect Cost Recovery 5%


SickKids International collaborates with national and global partners to improve the health of children worldwide through the advancement of child health education, and clinical and research initiatives. Our purpose is to provide a single point of coordination for key programs, policies, and external relations relevant to international health.

2010-2011 highlights:

• Markedthefirstanniversaryofitspartnership with Hamad Medical Corporation in Qatar.

• CelebratedwithpartnersfromHollandBloorview Kids Rehabilitation Hospital the successful move of 12 chronically ventilated patients to renovated paediatric quarters in Doha, Qatar.

• Hosted28internationallearnersfromAustralia,Belgium,China, Hong Kong, India, Israel, Italy, Japan, Korea, Latvia, Norway, Pakistan, Qatar, Saudi Arabia, Scotland, Singapore, Sweden, Switzerland and Syria who discovered new methods, theories and techniques through observation and practice at SickKids.

• CompletedthefirstyearofthreefortheCIDAgrant to train paediatric nurses in Ghana.

• Co-sponsoredtheGlobalCongressonSickleCellDisease(Accra, Ghana), the first and largest conference of its kind.

• Completedaneedsassessmentandhostedaplanningmeetingfor the Caribbean-SickKids Paediatric Oncology Initiative.

• Facilitated25teachingandtrainingsessionsinEthiopiathroughthe No Boundaries Team to increase institutional capacity in the surgical care of children through knowledge and skills transfer.

• Welcomed250attendeestothefifthannualGlobalChildHealth Day. The event focused on challenges in the realm of paediatric care, the strategies to address them, and how Canada can work towards becoming a recognized leader in the context of global child health.

• Withthethehospital’sRNCouncil,celebratedthe importance of nursing by hosting the second annual “Breakfast with SickKids Nurses Engaged in International Work.” The event welcomed over 75 attendees and was sponsored jointly by the International Nursing Interest Group and the Pediatric Nurses Interest Group.

• Coordinatedvisitsfor29internationalHerbieFundpatients from Vietnam, Philippines, Bangladesh, Mongolia, Angola, Botswana, Ethiopia, Ghana, Tanzania, Trinidad, El Salvador, Kosovo, Bolivia, Guyana and Peru.

SickKids International


SickKids Corporate Ventures is our gateway to unique and extraordinary intellectual capital. Our primary focus is to facilitate the transfer of knowledge and technology developed by SickKids physicians, scientists and professionals into products and programs that result in social and economic benefit.

SickKids Corporate Ventures reported the following results in 2010-2011:

35 invention disclosures 34 patent applications 183 patents issued 2 spin-out companies 99 active licenses $3.8 million in licensing revenue

Corporate Ventures

Association of University Technology Managers (AUTM) Survey Results 2010

AUTM is an international group whose core purpose is to support and advance academic technology transfer globally. The rankings below include Canadian organizations only.

National rankings in licensing revenue show SickKids as

National rankings in license and option agreements show SickKids as

16

3

First among research hospitals in licensing revenue

16

3 Third in licenses and options executed

16

3

Sixth among academic institutions in licensing revenue


Established in 1972, SickKids Foundation is the primary fundraising organization for The Hospital for Sick Children. Philanthropy is a critical source of funding for SickKids and in recent years, donations have accounted for about 10 per cent of overall funding support. For the fiscal year ending March 31, 2011, the Foundation made an investment of $57.9 million in research, learning and care at SickKids – the largest ever. Next to government, SickKids Foundation is the largest funder of child health research, learning and care in Canada.

SickKids Foundation

Fiscal years ended March 31, 2011 (millions of dollars) 2011 2010 2009 2008 2007

Assets

Gross Fundraising Program Revenue and Net Lottery Revenue 107 88 89 98 81

Total Grants & Charitable Activity 62 53 65 67 77

Fundraising & Administrating Expenses 28 28 34 33 27

Total Assets 734 670 489 563 558

Total Endowments 611 585 413 490 502

Denise Arsenault Vice President, Finance, and CFO Susan Malench Finance Director, Research Operations

Sandra Bradshaw Director of Finance, Patient Care

We guide and maintain the financial health of SickKids so other staff can focus on research and patient health.


finances

SickKids has developed

its own enterprise project

management system, known

as iProject. The system

addresses the stewardship

of public funds and confirms

SickKids’ commitment to

acountability and transparency.

iProject provides all staff with

a ready-to-use roadmap to

manage projects; promotes

increased efficiency; supports

improved and consistent

reporting; registers all projects

and tracks larger ones

(including completion and

success rates); enables timely

identification of projects

requiring intervention at a senior

level; and tracks resource

allocation (human resources

and financial resources)

within and among different

areas of the organization.

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Staff members who play a role in the administration of funds at SickKids ensure that proper processes and procedures are followed in financial transactions, in everything from the purchase of office equipment, to accounting for government grants and monies received from private donors through the SickKids Foundation. We are committed to operational efficiency, transparency and accountability.

Supporting evidence-based decisions to enhance our financial health.

Conducting business under the principles of fiscal prudence and accountability.

Acting with integrity and good judgment when allocating resources.

This is SickKids.

See our full annual report online at sickkids.ca/annualreport and link to Audited Financial Statements and Financial Overview

Rick Wray Director, Quality and Risk Management Irene Blais Director, Decision Support

Jeff Mainland Vice President, Strategy, Performance & Communications

At SickKids, performance is about people and outcomes. Measuring, monitoring and managing performance is fundamental to SickKids’ success.


performance

The Emergency Department

at SickKids is a top performer.

More than 57,000 patients

sought the help of the depart-

ment in 2010-2011, and by

the end of December figures

showed that more than 90

per cent of people who were

surveyed were satisfied with

the service they received.

An impressive 38.7 per cent

ranked their satisfaction

level as “excellent,” a 45 per

cent increase over last year.

The other positive responses

ranked satisfaction with the

Emergency Department as

“good” or “very good.” The

stellar results are attributed

to the department’s focus on

keeping families informed

throughout their visit and to

managing the experience

from their point of view.

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Achieving high performance is an organization-wide priority at SickKids. This is accomplished through empowered people, a commitment to world-class quality care, research and learning, and fiscal responsibility. Everyone who works at SickKids is encouraged to find innovative solutions to everyday challenges. This spirit of engagement and creativity nurtures an environment that focuses on the needs of our patients and their families. The results are evident to those who monitor our performance, including Accreditation Canada which surveyed SickKids in 2010 and gave us a perfect score across 91 governance standards.

Developing innovative solutions to improve health outcomes and the patient

care experience for children and families, and providing staff with the tools

and equipment to do their jobs successfully.

understanding the only way to improve is by constant measuring, monitoring,

benchmarking and stretch goal-setting.

Embracing the transparency and accountability that is our duty and responsibility

as a publicly funded organization.

This is SickKids.

See our full annual report online at sickkids.ca/annualreport and link to SickKids Scorecard, Patient Safety Indicators and Quality Improvement Plan

Margaret Keatings Chief, Interprofessional Practice and Chief Nurse Executive Karima Karmali Director, Family Care Portfolio

Dr. Upton Allen Chief, Division of Infectious Diseases

SickKids is a leader in inter-professional practice and the delivery of family-centred care.


family- centred care

By the end of childhood, an

estimated 40 per cent of

Canadian children are dealing

with obesity, asthma,

injury, behavioural problems

or learning difficulties, which

can affect them for the rest of

their lives. In a project known

as TARgetKids!, researchers

will identify which childhood

conditions are associated

with the most common adult

diseases – heart attacks,

strokes, diabetes and cancer

– and how such diseases can

be prevented at an early age.

The project is a collaboration

among several research

institutes and community

clinics. About 3,500 children

took part this year; more will

be added in coming years.

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As an innovator in child health, SickKids has made great strides in developing a philosophy of child and family-centred care whereby the child and family are at the very core of everything we do. Over the last several years, efforts have continued to focus on advancing child and family-centred care within the context of our interprofessional practice model.

We have created the new portfolio of “Excellence and Innovation in Child and Family Centred Care.” This will bring discrete family-centred care efforts and experts together and integrate a family-centred approach into research, education, and practice. At the same time, SickKids will be recognized worldwide as a leader and innovator in child and family-centred care.

Implementing innovative practices and processes to ensure patient safety,

equitable access and timely care.

Enhancing health outcomes by building strong relationships with patients

and families based on understanding and respect.

Providing comfort and care to support physical, social, emotional, learning

and developmental needs.

This is SickKids.

See our full annual report online at sickkids.ca/annualreport and link to Visiting SickKids and Programs and Services


Clinical Care in Good Hands

For over 135 years, excellence in clinical care has been at the heart of SickKids. We provide care to more than 275,000 patients each year. For some, it is as simple as a quick trip to Emergency. For others, SickKids is almost home and will be for many years. No matter how our patients and their families come into contact with us, we strive to ensure that each experience is positive, respectful and effective. We believe the best health outcomes are achieved when health-care professionals work together with patients and their families. This forms the basis for our practice of family-centred care.

Family-centred care involves everyone at SickKids, ranging from bedside treatment to care throughout the hospital, in clinics, in play rooms, in committees and in the community. It is carried out by our inter-professional teams, in close collaboration with patients and their families.

With volumes in emergency, ambulatory and inpatient departments rising and the need for tertiary and quaternary care increasing, SickKids is creating an integrated clinical structure to strategically plan and allocate resources across programs. This structure will enable SickKids to continue to deliver the world-class quality care that it is so well known for.

Marilyn Monk, Executive Vice President, Clinical (centre), with Karen Kinnear, Executive Director, Labatt Family Heart Centre & Critical Care Services (right), and Wanda Schoonheyt, Executive Director, Paediatric Programs & Transplantation. Missing from the photo is a fourth member of the clinical leadership team, Judy Van Clieaf, Executive Director, Cancer Care & Specialized Programs.

Child and Family-Centred Care Accomplishments

Development of Interprofessional Practice (IPP) Model & Framework Introduction of Family Legal Health program

Family Communication Boards in all patient care settings. Diversity and Cultural Competence Initiatives

Family representation on key hospital committees Extensive involvement of the Children’s Council in development of important hospital initiatives

Family participation in patient care rounds Re-design of the Family-Centred Care Advisory Council

Inter-professional Practice and Child and Family-Centred Care educational initiatives Interprofessional Practice Symposiums

Introduction of Team Capacity Building Program (funded Health Force Ontario) Knowledge translation activities


Quality and Safety – Our Top Priorities

Each and every day, staff strive to ensure that quality and patient safety are top priorities at SickKids.

In 2010-2011 we released our ninth Annual Blueprint for Patient Safety. The guiding principles that have underpinned each of the SickKids Blueprints include: the important role played by leadership in creating and supporting a culture of safety; ensuring our care is evidence-based; fostering interprofessional practice and teamwork; applying

tools of continuous improvement; encouraging accountability and transparency; and systems thinking.

Other dimensions of quality, such as access, efficiency, effectiveness and equity are equally important as we advance our strategic objective to lead in world-class quality and service. Some of our key quality and safety achievements in 2010-11 are included below. For a full overview of our performance, visit www.sickkids.ca/performance.

a Emergency Department Patient Satisfaction - Percentage of Emergency Department survey responses with a score of 3 (good), 4 (very good), or 5 (excellent).

b Surgical Out-of-Window Wait Times - The percentage of surgical cases completed outside of nationally accepted timelines.

c Safe Surgery Checklist Compliance – to come.

d MRI Wait Times – weeks - Appointment wait times in weeks for MRI patients requiring general anaesthesia.

e Overage Ambulatory Visits - Percentage of ambulatory visits (clinics and daycare) for patients 18 years of age and older.

f Medication Reconciliation - a formal process in which home medications and current medications are used to create a

complete medication history for the patient and ultimately reconciled to admission, transfer, discharge medication orders.

Key Achievements 2010-2011:

Key Performance Indicator April 2010 March 2011 % change

Emergency Department Patient Satisfactiona 84.9 % 91.4 % (Q3 YTD) 7.6 %

Surgical Out-of-Window Wait Timesb 31.8 % 21.5 % - 32.4 %

Safe Surgery Checklist Compliance (%)c 75.3% 90.6% 16.9%

MRI Wait Times - weeksd 11.58 8.8 - 24 %

Overage Ambulatory Visitse 5.5 % 5.2 % - 6 %

Medication Reconciliationf 78 % 82 % 5 %

Dr. Janet Rossant Chief of Research Dr. Colin Macarthur Associate Chief, Clinical Research

Dr. Susan Tallett Chief of Education

Scientists make important discoveries that improve the overall health outcomes of children. Quality educational opportunities prepare the next generation of leaders.


research and learning

Simulation education is an

important part of on-the-job

training at SickKids.

The Learning Institute’s

Simulation Centre is equipped

with sophisticated simulators

that can be programmed to

react to medication, including

the type of drug and the

dose given. An instructor

can reproduce various

patient scenarios from basic

to life-threatening critical

situations. The patient

simulators are life-sized,

computerized models with

realistic anatomy and clinical

functions – they can cry,

blink and breathe, and have

audible heart sounds and

a palpable pulse. Imitating

patient conditions, they allow

hospital staff and trainees to

practice medical interventions

in a safe learning environment.

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SickKids is a teaching and research hospital affiliated with the University of Toronto. Physicians and scientists at SickKids hold appointments at U of T and contribute to the high academic standards that U of T is known for. Determined in their pursuit of new discoveries, our scientists are constantly finding new and better ways to improve child health, serving children in Canada and throughout the world. This emphasis on knowledge translation is supported by the SickKids Learning Institute whose members help to transform scientific results from the lab bench into practical application at the bedside.

Combining innovative world-class scientific research and discovery to prevent

disease, find cures and transform children’s health.

Translating ideas into treatments and sharing knowledge to benefit all children,

in an environment characterized by ongoing professional development and

constant learning.

Sustaining a rich and diverse environment where curiosity is valued, respected

and rewarded.

This is SickKids.

See our full annual report online at sickkids.ca/annualreport and link to Research Institute and Learning Institute


Research Institute

The SickKids Research Institute is the largest child health research institute in Canada and a centre for excellence and innovation that places SickKids on the world stage of health-care expertise. Researchers from around the world are drawn to SickKids to help understand and prevent disease, find cures and transform children’s health.

Research grants: There were 2,285 funded research projects underway at SickKids in 2010-11, which is up 13.6 per cent from 2009-10. This represents $70.5 million in operating grant funding that our researchers have successfully competed for. Our scientists have succeeded in securing an additional $22.5 million in infrastructure grant funding in 2010-11.

A key indicator of the excellence of SickKids researchers is how they compare to the national average when competing

for Canadian Institutes of Health Research grant funding. The Canadian Institutes of Health Research (CIHR) is Canada’s largest health research granting agency. In 2010-11, SickKids’ success rate in competing for CIHR funding was 28 per cent (37 of 133 grants submitted were funded) comparing favourably to the national success rate of 19 per cent.

A further 166 research projects funded through contracts with industry were also underway in 2010-11.

In 2010-11 there were also 2,763 active clinical protocols – some of these clinical research projects have been funded through grants or industry and hence are a subset of the numbers above. Other active clinical protocols are smaller research investigations, which are not externally funded.

During 2010-2011 The Research Institute was home to 2,548 staff and trainees

Scientists, Associate scientists, Emeritus scientists (all of whom spend more than 50 per cent of their time on research) 231

Project investigators (spend less than 50 per cent of their time on research) 307

Grant-funded staff 803

Operations and administrative staff 162

Trainees

Research fellows 277

Graduate students 540

Research summer students 228


SickKids Research Institute funding

Agency $ Funding

SickKids Foundation 35,792,139

Canadian Institutes of Health Research 31,852,511

Canada Foundation for Innovation 8,315,383

Ontario Ministry of Research and Innovation 7,396,249

Genome Canada 7,211,125

Commercial Services at SickKids 5,511,308

National Institutes of Health 5,113,203

Interest Income, Pooled Funds 4,805,791

Canada Research Chairs Secretariat - Federal Indirect Cost Program 4,542,250

Canada Research Chairs Secretariat - CRC Program 3,594,176

Ontario Institute for Cancer Research 3,184,871

Canadian Cancer Society 2,644,144

Heart & Stroke Foundation Ontario 2,175,717

J.P. Bickell Foundation 1,919,528

Cystic Fibrosis Canada 1,592,261

Multiple Sclerosis Scientific Research Foundation 1,358,278

Estate Bequest and Other Endowment Income 996,316

Ontario Ministry of Health & Long Term Care 920,424

Luminex Molecular Diagnostics Inc. 891,062

Natural Sciences and Engineering Research Council of Canada 866,218

Fondation Leducq 837,980

Boston Scientific 792,318

J.R. Robertson Estate 771,434

Pediatric Brain Tumor Foundation of the United States 701,162

University Health Network 569,864

Duchesnay Inc 543,378

NeuroDevNet 523,808

Myriad Genetics Inc. 517,248

Multiple Sclerosis Society of Canada 488,904

Ontario Student Oppurtunity Trust Fund 459,422

Cystic Fibrosis Foundation Therapeutics, Inc. 441,832

b.r.a.i.n.CHILD 435,010

Agency $ Funding

March of Dimes Birth Defects Foundation 398,487

Brain Tumor Society 396,610

Abbott Laboratories Limited 358,164

Kidney Foundation of Canada 353,671

University of Toronto 349,080

PrioNet Canada 348,188

Revenue From Research Facilities At SickKids 345,262

Innogenetics NV 338,553

Crohn's & Colitis Foundation of Canada 308,516

Physicians' Services Incorporated Foundation 307,675

Susan G. Komen for the Cure 289,430

Ovation Pharmaceuticals, Inc. 268,605

United States Department of Education 258,022

Ontario Neurotrauma Foundation 238,616

Hoffmann-La Roche Inc. 227,819

Ontario HIV Treatment Network 219,240

Ontario Mental Health Foundation 216,047

MaRS Discovery District 204,051

University Of Michigan 202,037

McLaughlin Centre for Molecular Medicine 199,104

Paediatric Consultants 195,919

Baxter Healthcare Corporation 193,542

Bayer Inc. 181,797

Celera 175,157

Wellcome Trust 172,885

British Columbia Research Institute for Children's & Women's Health Centre 172,791

H.E. Sellers Foundation 171,014

Heart & Stroke Foundation Canada 165,315

BioMarin Pharmaceutical Inc. 162,530

Ottawa-Carleton District School Board 156,280

Stem Cell Network 155,745

Ontario Research and Development Challenge Fund 153,610

Solving Kids' Cancer 151,831

Other 22,014,494

Grand Total 167,815,403


Personnel awards to senior scientific staff

Canada Research Chairs Tier I

2002-2015 Dr. David Bazett-Jones Genetics & Genome Biology

2005-2012 Dr. Gabrielle Boulianne Developmental & Stem Cell Biology

2001-2014 Dr. Mark Henkelman Physiology & Experimental Medicine

2006-2013 Dr. Lynne Howell Molecular Structure & Function

2002-2016 Dr. David Kaplan Cell Biology

2004-2011 Dr. Amira Klip Cell Biology

2005-2012 Dr. Freda Miller Developmental & Stem Cell Biology

2005-2012 Dr. Michael Moran * Molecular Structure & Function

2001-2014 Dr. Martin Post Physiology & Experimental Medicine

2001-2014 Dr. Brian Robinson Genetics & Genome Biology

2005-2012 Dr. Norman Rosenblum Developmental & Stem Cell Biology

2004-2011 Dr. Daniela Rotin Cell Biology

2004-2018 Dr. Michael Salter Neurosciences & Mental Health

2001-2014 Dr. Philip Sherman Cell Biology

2006-2012 Dr. Rosemary Tannock * Neurosciences & Mental Health

2005-2012 Dr. William Trimble Cell Biology

2005-2012 Dr. Shoshana Wodak Molecular Structure & Function

* nominated by the McLaughlin Centre for Molecular Medicine

Canada Research Chairs Tier II

2001-2010 Dr. Benjamin Alman Developmental & Stem Cell Biology

2007-2012 Dr. Brian Ciruna Developmental & Stem Cell Biology

2006-2011 Dr. Andrea Kassner * Physiology & Experimental Medicine

2006-2011 Dr. Berge Minassian Genetics & Genome Biology

2001-2011 Dr. Regis Pomes Molecular Structure & Function

2004-2014 Dr. Lisa Robinson Cell Biology

2006-2011 Dr. Simon Sharpe Molecular Structure & Function

* nominated by the University of Toronto


Personnel awards to senior scientific staff

Canada Research Chairs Tier II

2002-2012 Dr. Brian Feldman Child Health Evaluative Sciences

2003-2013 Dr. Meredith Irwin Cell Biology

2002-2012 Dr. Andrew Paterson Genetics & Genome Biology

2002-2012 Dr. Lu-Yang Wang Neurosciences & Mental Health

2004-2013 Dr. Sheena Josselyn Neurosciences & Mental Health

2004-2013 Dr. Paul Frankland Neurosciences & Mental Health

Canadian Institutes of Health Research (CIHR)

New Investigator Award

2006-2011 Dr. Yigal Dror Cell Biology

2006-2011 Dr. John Parkinson Molecular Structure & Function

2007-2012 Dr. John Rubinstein Molecular Structure & Function

2009-2014 Dr. Padmaja Subbarao Physiology & Experimental Medicine

2009-2014 Dr. Lillian Sung Child Health Evaluative Sciences

2010-2015 Dr. Uri Tabori Genetics & Genome Biology

Clinician Scientist Award

2010-2013 Dr. Michael Taylor Developmental & Stem Cell Biology

CIHR/Canadian Association of Gastroenterology/Crohn’s and Colitis Foundation of Canada

Transition Award

2008-2012 Dr. Aleixo Muise Cell Biology

CIHR Institute of Gender and Health/Ontario Women’s Council

Mid-Career Award

2005-2010 Dr. Gail McVey Child Health Evaluative Sciences

CIHR Rx&D Collaborative Research Program

GSK/CIHR Research Chair in Genetics & Genomics

2008-2013 Dr. Stephen Scherer Genetics & Genome Biology


Personnel Awards to Senior Scientific Staff

Heart & Stroke Foundation Ontario

Clinician Scientist Awards

2007-2010 Dr. Rand Askalan Neurosciences & Mental Health

2007-2010 Dr. Mary Ann Opavsky Cell Biology

Ontario Institute for Cancer Research


2009-2015 Dr. Brian Nieman Physiology & Experimental Medicine

Investigator Award

2010-2016 Dr. Bret Pearson Developmental & Stem Cell Biology

Ontario Mental Health Foundation


2010-2013 Dr. Jennifer Crosbie Neurosciences & Mental Health

Intermediate Research Fellowship

2009-2012 Dr. Isabela Granic Child Health Evaluative Sciences

Ontario Ministry of Health and Long-Term Care

Career Scientist Award

2005-2010 Dr. Christopher Parshuram Child Health Evaluative Sciences

2009-2011 Dr. Jennifer Stinson Child Health Evaluative Sciences

The American Society of Nephrology

Norman Siegel Research Scholar

2009-2011 Dr. Christoph Licht Cell Biology

The Arthritis Society

Investigator Award

2007-2012 Dr. Rae Yeung Cell Biology


Science produces new knowledge at an exponential rate. More and more, patients suffer complex conditions that require the expertise and management of multiple health-care providers. Patients deserve, and caregivers want to provide, care based on today’s knowledge. We need to develop innovative ways of bringing new knowledge to practitioners and teams so that they may, in turn, provide the best care for sick children.

Learning is a vast enterprise at SickKids. It includes the formal training of the next generation of child health providers and researchers – people who will develop new treatments that make lives better, healthier and longer. It also includes the professional development of clinical and administrative staff, and the education of patients and families.

Across this rich and diverse community, the Learning Institute supports improvement and innovation in the way we learn together. By building an infrastructure to extend and share our learning resources, the Learning Institute will optimize learning and promote effective, efficient practice. We want to make sure that important new learning is applied in the care of children.

That is what is behind the Learning Institute’s very broad mandate. The Learning Institute embraces all educational endeavours, connects people and looks for ways to help them provide the best possible care for children.

SickKids has a long history of education. The Learning Institute was introduced in 2007 to support and advance all educational endeavours for staff, trainees, patients and families.

The programs and services of the Learning Institute support the educational activities at SickKids. They include:

• AboutKidsHealth• ConferenceManagementService• EducationEvaluationandAssessmentProgram• eLearningProgram• HospitalLibraryandArchives• InterprofessionalCertificationandEducation(ICE)• InterprofessionalEducation• KnowledgeTranslation• Research• SimulationProgram• StaffContinuingProfessionalDevelopmentFund

Learning Institute


Learning Institute

Highlights of the activities supported by the Learning Institute in 2010-2011 included:

• 1.5millionvisitstothepatientandfamilyeducation site AboutKidsHealth.ca. In a typical month, visitors to the site come from more 180 different countries and 500 Canadian cities.

• 24,550visitorstotheReadingRoom.TheReadingRoom, a partnership with the Toronto District School Board, the Toronto Public Library and SickKids, supports curriculum for students from grade K to 12 and provides access to materials critical to success at school.

• 14,207visitstotheAboutKidsHealthFamilyResourceCentre, which provides a range of information resources and services for patients and families.

• 37,400visitstotheHospitalLibrarytoaccessprintandelectronic resources. More than 80,000 PDF copies of journal articles were downloaded to support clinical, education and research activities.

• Studentsandacademictraineesfromanumberof disciplines ranging from medicine to nursing to laboratory medicine are eager to learn at SickKids. In 2010-2011 these programs saw the following attendance in student days:

- Audiology 175 days- Child Life 978 days- Department of Paediatric

Laboratory Medicine 1,609 days- Dietetics 850 days- General Radiology 424 days- Nursing 10,666 days- Occupational Therapy 354 days- Perfusion 70 days- Pharmacy 1,642 days- Physiotherapy 350 days- Respiratory Therapy 812 days- Speech Language Pathology 75 days- Social Work 1,586 days

• SickKidsishometothelargest,mostcomprehensive paediatric medical and surgical training program in Canada. During the 2010/2011 academic year, there were more than 800 residents and 425 fellows at SickKids.

• Continuingprofessionaldevelopment(CPD)opportunities,organized by the Learning Institute’s Conference Management Service, were delivered to more than 1,105 learners. Many other CPD opportunities were provided across the organization, for example, in Management and Leadership Development, Project Management, Information Technology, Quality and Risk Management, and Occupational Health and Safety.

• TheSimulationProgramsupportedover2,700participantsthrough opportunities for individual skill acquisition and team training.

• SickKidslaunchedtheinauguralofferingofthe Knowledge Translation Professional Certificate (KTPC™) accredited by the University of Toronto, Office of Continuing Education and Professional Development, in January 2011. Hosted by the Learning Institute, KTPC is a five-day professional development course and the only program of its kind in North America.


Research & Learning Tower

On May 4, 2010, SickKids began the largest construction project of its history. The groundbreaking of The Research & Learning Tower, scheduled to open in 2013, marked the beginning of a journey that will take SickKids to a new level – 21 storeys above ground.

The $400-million project is financed by donations to SickKids Foundation’s Research & Learning Tower capital campaign and by Canada Foundation for Innovation.

Before the building started going up, the construction crew had to drill into the ground where the earth is solid and lay a foundation that will support the height and heavy structure of the new building. To create this deep foundation, they installed cement caissons, resembling large underground columns. On July 23, 2010, the seventieth and final caisson was put in place.

Imagine: Each caisson is 20 metres deep. If all the caissons were lined up in a row, the total distance would be 1.4 km. If this were a horizontal tunnel, it could run from the 555 University Ave. entrance of SickKids all the way to Union Station.

From May 2010 through January 2011 the construction crew completed excavation, displacing approximately 39,000 cubic metres of dirt, enough to fill over 15 Olympic-sized swimming pools. Through to the week of March 15, the three underground parking levels were completed.

By spring, construction reached ground level and continues upward – a sight to see for all those who walk, drive or cycle past the corner of Bay and Elm Streets. The Tower will continue to climb until it is 120 metres high.

Construction of The Research & Learning Tower at Bay and Elm Streets.


Research & Learning Tower

The interior of the Tower has been designed to encourage collaborative research among scientists working on related issues and located in one of seven “neighbourhoods.” Inspired by a cutting-edge research theme, each neighbourhood will occupy two to three floors that are characterized by open spaces that are conducive to interaction and collaboration.

The neighbourhoods are:

Molecules, Therapies & Infectious Disease Cancer, Stem Cells & Regenerative Medicine Genetics & Genomics in Child Health Patients, Populations & Policy Organ Systems & Disease Brain & Behaviour and Clinical Research Centre

The Tower will provide important new learning and teaching facilities for SickKids Learning Institute, including a 250-seat lecture theatre, flexible learning spaces and display areas. The Learning Concourse will include state-of-the-art web and teleconferencing technology.

The Tower will bring together researchers from different scientific disciplines and a variety of clinical perspectives, to accelerate discoveries and articulate new knowledge for the benefit of child health. The Tower, a gateway to the Toronto Discovery District, will physically connect SickKids science, discovery and learning activities to its clinical operations.

The fundraising campaign cabinet for the Tower is chaired by Tim Hockey, Group Head, Canadian Banking and Insurance, and President and CEO, TD Canada Trust. Honorary Chairs are Arthur and Sonia Labatt. See membership of the cabinet on the campaign website at sickkidsfoundation.com/bepartofit.

For more information about the campaign, please visit the above link.

Watch our webcam as the Tower continues to grow.

achievements 2010-2011

Cultural competence Karen Fleming uses new multilingual kiosk at SickKids.

Cochlear implants Ontario provides funding for more cochlear implants for the benefit of children.

Day 1 of The TowerConstruction of The Research & Learning Tower starts.

SuccessSickKids shines in Canadian Institutes of Health Research competition.

QatarChronically ventilated children moved to new site.

Asthma Dr. Wendy Ungar and team: Financial barriers may increase emergency room visits for kids with asthma.

Hockey He scores! SickKids wins! Stephen Harper gives patients air hockey table.

Café scientifique SickKids hosts lively discussion about science, research and medicine.

LeaderMary Jo Haddad, President and CEO, receives Order of Canada.

Diabetes Dr. Michael Dosch co-author of study on dietary changes that may prevent autoimmunity.

Motherisk Dr. Gideon Koren, founder of Motherisk, celebrates program’s 25th anniversary.


generosityGarron Family gives transformational gift for cancer care, research and education.


Performance SickKids is inducted into the Palladium Balanced Scorecard Hall of Fame.

SurgeryDr. James Wright, Surgeon in Chief, is named head of national organization of surgeons.

EducationSickKids invites kids of all ages to a “Science Rendezvous.”

Clinical researchDr. Padmaja Subbarao gives MPP Reza Moridi a tour of the Physiological Research Unit.

Pain Dr. Anna Taddio: Finding ways to minimize immunization pain in children.

Talent Dr. Paul Nathan among SickKids researchers receiving Early Researcher Award.

Cancer Dr. David Kaplan and colleagues find new twist on drug screening to treat common childhood cancer.

InnovationSickKids innovations - including system devised by Loreto Lecce and team - are recognized at Ontario Health Innovation Expo.

Information technologyDaniela Crivianu-Gaita and her team win award for smartest IT application.

SchizophreniaA new approach to schizophrenia could lead to new treatments.

Top nurse Canada’s highest nursing honour goes to SickKids Trustee Gail Donner.

Making a differenceConstance Sugiyama, Chair of Board of Trustees, receives “World of Difference” award.

RhymesFather creates a rhyme book for families in Neonatal Intensive Care Unit.

Pioneer Remembering Dr. Robert Salter.

Medical complexitiesDr. Eyal Cohen and team focus on medical complexity and efficiencies in health-care delivery.

Autism Autism research team, co-led by Dr. Stephen Scherer, receives more than $9 million.

ObesityDr. Zdenka Pausova, co-principal investigator of study on abdominal obesity linked to mom’s smoking while pregnant.

Stomach fluDr. Stephen Friedman and team find that use of anti-vomiting drug for stomach flu could save millions.

Killam PrizeDr. Mark Henkelman receives 2010 Killam Prize in health sciences.

RheumatologyRheumatology celebrates 25 years – Dr. Bonnie Cameron was one of program’s first students.

Heart surgeryDr. Brian McCrindle and team examine procedures for congenital heart disease surgery.

PaediatricsDr. Denis Daneman, Paediatrician-in-Chief, receives lifetime achievement award.

genome consortiumDr. David Malkin and team make giant strides in childhood disease research.

Medical & Academic AffairsDr. Stanley Zlotkin appointed Vice-President, Medical & Academic Affairs

nursing Excellence Our nurses receive accolades.

ghanaSickKids and the University of Ghana train urgently needed paediatric nurses in Ghana.

national advocacyMary Jo Haddad, President and CEO, serves as editor-in-chief of Healthcare Quarterly, addressing urgent issues in child health.

David Foster in town Transplant patients meet famous producer.

Slippery DnADr. Christopher E. Pearson and his team make discovery about mutations.

First Lady of Mexico Licenciada Margarita Zavala visits SickKids.


We tweetSickKids joins the world of Twitter.

How Are We Doing?SickKids is committed to continuous learning and quality improvement. We use various methods to understand a family’s experiences – what worked and what didn’t – and welcome comments that help us improve our performance.

“My family was impressed at the level of professionalism exhibited by all the staff and the tremendous standard of care my daughter received.”

“Service, care, everything. Thank you.”

“Nursing staff was incredibly efficient, competent and professional. We were extremely impressed with the quality of communications between the doctors and nurses and the interdisciplinary teams.”

“Everything was done just right. Thank you very much for all your help. I cannot speak highly enough of SickKids Hospital. You made a very scary time in our lives a fantas-tic experience for my daughter and I.”

“The level of expertise and knowledge always impresses us. SickKids is a fantastic facility.”

“Everything from the facility to explanations was completely geared to children. Outstanding. Thank you.”

“I cannot say enough good things about the treatment and service SickKids provided our family. We are very fortunate to have a hospital like SickKids! Thank you.

“The absolutely positive and heart-felt care and concern shown by everyone in the building – orderlies, transport, volunteers, nurses, support staff. It was overwhelming!”

building futurethefor

555 University Avenue, Toronto, Ontario M5G 1X8 www.sickkids.ca

Documents

The Hospital for Sick Children (SickKids)